Individual provider · Type 1 NPI

Idalisse Marie Gonzalez, MS

Health Service Psychologist · Isabela, PR

NPI number 1053288456 Active

Practice location

4972 Ave Militar
Isabela, PR 00662-4163

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100X7545 (PR)

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

4 other providers at this address

About NPI 1053288456

Idalisse Marie Gonzalez, MS's National Provider Identifier is 1053288456, issued on Oct 20, 2025. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Isabela, PR. The record was last updated on Oct 20, 2025.